Older adults do not present the way a textbook describes a younger patient, and that single fact is what makes this course difficult. In Advanced Practice Nursing in the Care of Older Adults, 1st Edition by Kennedy and Fletcher, an infection may appear as new confusion or a fall rather than a fever, a normal creatinine may still mean reduced renal clearance, and the medication list is often part of the presenting problem. Assessment has to account for all of it at once.
Why this test bank helps
Selecting the right answer is half of what a question can teach; the other half is understanding why the plausible alternative is wrong, which in geriatrics usually means separating an acute change from a chronic one or a drug effect from a disease. Each question here is followed by a rationale that explains the aging physiology behind the correct response and states precisely why each other option misreads the presentation or delays needed care.
What’s inside
- Questions organized chapter by chapter, following the textbook’s assessment-to-management structure.
- Multiple-choice and select-all-that-apply items built on realistic older-adult case presentations.
- A written rationale for every question, addressing both the correct option and each incorrect one.
- Emphasis on the syndromes that dominate geriatric practice: delirium, falls, incontinence, frailty and polypharmacy.
- Digital PDF, downloadable immediately after checkout.
Topics covered
- Comprehensive geriatric assessment — functional status, activities of daily living, gait, balance and nutrition screening.
- Atypical presentation of acute illness — infection, myocardial infarction and dehydration without classic signs.
- Cognition and mood — distinguishing delirium, dementia and depression, and the screening tools used for each.
- Pharmacology in aging — altered pharmacokinetics, polypharmacy, potentially inappropriate medications and deprescribing.
- Falls and mobility — risk assessment, gait disorders, osteoporosis and fracture prevention.
- Continence and skin — types of urinary incontinence, genitourinary changes, pressure injury staging and wound care.
- Chronic disease in older adults — heart failure, COPD, diabetes and arthritis managed alongside age-related change.
- Goals of care — pain assessment including in cognitive impairment, palliative and end-of-life care, advance directives, caregiver strain and elder mistreatment.
Who it’s for
Graduate nursing students in adult-gerontology nurse practitioner and clinical nurse specialist programs, and practicing advanced practice nurses reviewing geriatric assessment and management in a structured way.
How to use it (the right way)
Work each case question by first stating the time course of the change, because acute versus chronic decides most geriatric items before any other detail matters. Answer closed-book, then read the rationale in full, including for questions you answered correctly. This is a study aid for self-assessment, to be used in line with your program’s academic-integrity policy and not as a shortcut around your coursework or clinical hours.
Sample question (shows the format — your download contains the full set)
Q. An 84-year-old admitted two days ago after a hip fracture is now inattentive, disoriented in the evenings but nearly clear in the mornings, and reports seeing people who are not in the room. Which explanation is most likely?
- A. Previously undiagnosed Alzheimer disease
- B. Delirium
- C. Major depressive disorder
- D. Expected cognitive change of aging
Answer: B. Acute onset, a fluctuating course, inattention and perceptual disturbance are the defining features of delirium, and the finding should prompt a search for a cause such as infection, an added medication, uncontrolled pain, hypoxia or urinary retention. Option A is unlikely because dementia develops insidiously over months to years and attention is relatively preserved early. Option C typically emerges over weeks with low mood and psychomotor slowing rather than fluctuating inattention. Option D is incorrect and clinically risky: disorientation and hallucinations are never a normal feature of aging.
Edition & format
- Matches: Advanced Practice Nursing in the Care of Older Adults, 1st Edition, by Kennedy and Fletcher (ISBN 9780803624917).
- Format: Digital PDF, delivered instantly after checkout.
- Access: Lifetime access, with re-download available anytime.
Please confirm the edition and ISBN match the textbook your program has set before ordering, as chapter organization changes between editions.
Frequently asked questions
Is this the current edition? This file is prepared for the 1st edition. Compare the ISBN above with the book listed on your course outline.
How do I receive it? A download link is shown on the confirmation page immediately after checkout and emailed to you as well.
Do all questions include rationales? Yes. Each item explains the correct response and why each other option misreads the case.
Is using a test bank allowed? Self-testing is a normal part of graduate nursing revision. Use this file within your program’s academic-integrity policy and your faculty’s rules.
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